Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: a qualitative study.
Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: a qualitative study.
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DOI：
10.1186/1471-2458-13-523
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发表时间：
2013-05-30
影响因子：
4.5
通讯作者：
Kakoko D
中科院分区：
文献类型：
--
作者：
Mosha I;Ruben R;Kakoko D
在发展中国家，避孕用具的使用率很低，这些国家仍然在很大程度上受到男性主导的文化和父权价值观的驱动。这项研究探讨了坦桑尼亚姆万扎地区夫妇的计划生育决策、观念和性别动态。12次焦点小组讨论和6次深度访谈被用来收集18-49岁已婚或同居的男性和女性的信息。参与者是有目的地挑选出来的。采用定性研究方法，探讨夫妇间的计划生育决策、知觉和性别动态。使用了与计划生育观念、决定和性别动态有关的问题的指南。讨论和面谈被录音、逐字转录、人工分析并接受内容分析。在这项研究中出现了四个主题。首先，“风险和成本”指的是计划生育方法的副作用和副作用的治疗，以及被贴上不忠配偶标签所继承的成本。第二，男性的“男性参与”对参与计划生育问题兴趣不大。然而，同样的男性也被认为是关键的决策者，甚至在一对夫妇应该生育多少孩子和这些孩子的生育间隔方面也是如此。第三，作为参与者的“性别关系和沟通”表明，很少有妇女参与计划生育和生育子女数量的决策。第四，“城乡差异”，农村的生活比城市地区更倾向于生育更多的孩子。因此，孩子的价值取决于居住地。计划生育方案应将促进夫妻之间关于计划生育的交流和共同决策作为一项旨在提高计划生育使用率的战略。
Contraceptive use is low in developing countries which are still largely driven by male dominated culture and patriarchal values. This study explored family planning (FP) decisions, perceptions and gender dynamics among couples in Mwanza region of Tanzania. Twelve focus group discussions and six in-depth interviews were used to collect information from married or cohabiting males and females aged 18–49. The participants were purposively selected. Qualitative methods were used to explore family planning decisions, perceptions and gender dynamics among couples. A guide with questions related to family planning perceptions, decisions and gender dynamics was used. The discussions and interviews were tape-recorded, transcribed verbatim and analyzed manually and subjected to content analysis. Four themes emerged during the study. First, “risks and costs” which refer to the side effects of FP methods and the treatment of side -effects as well as the costs inherit in being labeled as an unfaithful spouse. Second, “male involvement” as men showed little interest in participating in family planning issues. However, the same men were mentioned as key decision-makers even on the number of children a couple should have and the child spacing of these children. Third, “gender relations and communication” as participants indicated that few women participated in decision-making on family planning and the number of children to have. Fourth, “urban–rural differences”, life in rural favoring having more children than urban areas therefore, the value of children depended on the place of residence. Family Planning programs should adapt the promotion of communication as well as joint decision-making on FP among couples as a strategy aimed at enhancing FP use.
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影响因子：
1.5
作者：
Kaida, A;Kipp, W;Konde-Lule, J
通讯作者：
Konde-Lule, J
影响因子：
2.1
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通讯作者：
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通讯作者：
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通讯作者：
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